IPCHS

This growing repository holds WHO documents, scientific publications, policy documents, implementation reports, presentations and others with information and insights about integrated people-centred health services. Share your publication by clicking “Add publication”.

Filters:

Dec. 3, 2019 Americas

Strengthening governance and accountability, Coordinating services within and across sectors, Creating an enabling environment

Political struggles for a universal health system in Brazil: successes and limits in the reduction of inequalities

Brazil is a populous high/middle-income country, characterized by deep economic and social inequalities. Like most other Latin American nations, Brazil constructed a health system that included, on the one hand, public health programs and, on the other, social insurance healthcare for those working in the formal sector. This study analyzes the political struggles surrounding the implementation of a universal health system from the mid-1980s to the present, and their effects on selected health indicators, focusing on the relevant international and national contexts, political agendas, government orientations and actors.

Dec. 3, 2019 Africa

Strengthening governance and accountability, Reorienting the model of care, Creating an enabling environment

A conceptual framework for capacity strengthening of health research in conflict: the case of the Middle East and North Africa region

In conflict settings, research capacities have often been de-prioritized as resources are diverted to emergency needs, such as addressing elevated morbidity, mortality and health system challenges directly and/or indirectly associated to war. This has had an adverse long-term impact in such protracted conflicts such as those found in the Middle East and North Africa region (MENA), where research knowledge and skills have often been compromised. This paper proposes a conceptual framework for health research capacity strengthening that adapts existing models and frameworks in low- and middle-income countries and uses the knowledge of the MENA context to contextualise them for ...

Dec. 3, 2019 Europe

Strengthening governance and accountability, Coordinating services within and across sectors, Creating an enabling environment

Towards a theoretical framework for Integrated Team Leadership (IgTL)

This study presents a framework for the leadership of integrated, interprofessional health, and social-care teams (IgTs) based on a previous literature review and a qualitative study. The theoretical framework for Integrated Team Leadership (IgTL) is based on contributions from 15 professional and nonprofessional staff, in 8 community teams in the United Kingdom. Participants shared their perceptions of IgT’s good practice in relation to patient outcomes. There were two clear elements, Person-focused and Task-focused leadership behaviors with particular emphasis on the facilitation of shared professional practices. Person-focused leadership skills include: inspiring and motivating; walking the talk; change and innovation; consideration ...

Dec. 3, 2019 Eastern Mediterranean

Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

Care coordination in the health-care service delivery: an elderly care perspective

The purpose of this study is to assess the relationship between patient-centricity, care coordination and delivery of quality care for older people with multiple chronic conditions. Care coordination is defined as a process where physicians, nurses and allied professionals work together to clarify responsibilities, care objectives, treatment plans and discharge plans for delivery of unified care. Patient-centricity is defined as an approach of delivering quality care to patients that focuses on creating a positive experience for them.

Nov. 29, 2019 South-East Asia

Reorienting the model of care, Coordinating services within and across sectors, Creating an enabling environment

Factors Associated with Enrolment of Households in Nepal’s National Health Insurance Program

Nepal has made remarkable efforts towards social health protection over the past several years. In 2016, the Government of Nepal introduced a National Health Insurance Program (NHIP) with an aim to ensure equitable and universal access to healthcare by all Nepalese citizens. Following the first year of operation, the scheme has covered 5 percent of its target population. There are wider concerns regarding the capacity of NHIP to achieve adequate population coverage and remain viable. In this context, this study aimed to identify the factors associated with enrolment of households in the NHIP.

Nov. 29, 2019 Europe

Strengthening governance and accountability, Coordinating services within and across sectors, Creating an enabling environment

Partnership and accountability in the era of integrated care: a tale from England

In England, the 2012 Health and Social Care Act was heralded to be among the most significant changes in policy for the National Health Service (NHS) since its inception in 1948. Yet a key theme of the policy, namely the intensification of competition in service provision, has not fully materialised.
The 2014 Five Year Forward View outlined visions for a more integrated health and care system in England. Subsequent guidance introduced new organisational forms, such as the so-called Sustainability and Transformation Plans and integrated care systems

Nov. 28, 2019 Global

Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

The Development of a Logic Model to Guide the Planning and Evaluation of a Navigation Center for Children and Youth with Complex Care Needs

Most systems across health settings and sectors are not well integrated and do not provide the needed supports, resources, or access caregivers and families require to properly care for their child with complex care needs (CCNs). NaviCare/SoinsNavi is a research-based navigation center aimed to help facilitate more convenient and integrated care to support the needs of children, youth, and their families using a patient navigator to offer personalized family-centered care

Nov. 26, 2019 Americas

Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

Association of the Implementation of the Patient-Centered Medical Home with Quality of Life in Patients with Multimorbidity

The patient-centered medical home (PCMH) has clinical benefits for chronic disease care, but the association with patient-reported outcomes such as health-related quality of life (HRQoL) is unexplored in patients with multimorbidity (two or more chronic diseases). The aim o this study was to examine if greater clinic-level PCMH implementation was associated with higher HRQoL in multimorbid adults.

Nov. 26, 2019 Americas

Coordinating services within and across sectors, Creating an enabling environment

Should community pharmacy be 'linked'? The perceptions of including community pharmacy in an integrated care model in Ontario, Canada

Integrated care models are becoming more frequent in various health systems to provide quality coordinated care, with the aim of improving patient outcomes and costs. Many patients under an integrated care model present with complex health and social needs requiring more sophisticated care coordination.

Nov. 26, 2019 Global

Engaging and empowering people and communities, Strengthening governance and accountability, Reorienting the model of care, Creating an enabling environment

Patient-Centered Methods for Designing and Developing Health Information Communication Technologies: A Systematic Review

Chronic disease management and maintaining healthy behaviors to prevent disease are important lifelong considerations. Adherence to prescribed management and behaviors often falls short of physician recommendations, which can result in negative health outcomes. Information communication technologies (ICTs) offer an approach to combat this issue. However, uptake and sustainability of ICTs have mixed results. One reason could be that technologies are often created without an understanding of the complexities of patient needs. Therefore, the intent of this study is to explore the current landscape of patient-centered design and development of health ICTs through a systematic review.